MED -SURG EXIT EXAM 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
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A client who is HIV positive asks the nurse, "How will I know when I have AIDS?" Which
response is best for the nurse to provide?
A) Diagnosis of AIDS is made when you have 2 positive ELISA test results.
B) Diagnosis is made when both the ELISA and the Western Blot tests are positive.
C) I can tell that you are afraid of being diagnosed with AIDS. Would you like for me to call your
minister?
D) AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy
individual.
AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy
individual
A female client receiving IV vasopressin (Pitressin) for esophageal varice rupture reports to the
nurse that she feels substernal tightness and pressure across her chest. Which PRN protocol
should the nurse initiate?
A) Start an IV nitroglycerin infusion.
B) Nasogastric lavage with cool saline.
C) Increase the vasopressin infusion.
D) Prepare for endotracheal intubation.
start an IV nitroglycerin drip
A client with cirrhosis develops increasing pedal edema and ascites. What dietary modification
is most important for the nurse to teach this client?
A) Avoid high carbohydrate foods.
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,B) Decrease intake of fat soluble vitamins.
C) Decrease caloric intake.
D) Restrict salt and fluid intake.
restrict salt and fluid intake
the nurse is taking a history of newly diagnosed type 2 diabetic who is beginning treatment.
which subjective information is most important for the nurse to note
an allergy to sulfa drugs
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in
sugar and fat. According to the Health Belief Model, which event is most likely to increase the
client's willingness to become compliant with the prescribed diet?
A) He visits his diabetic brother who just had surgery to amputate an infected foot.
B) He is provided with the most current information about the dangers of untreated diabetes.
C) He comments on the community service announcements about preventing complications
associated with diabetes.
D) His wife expresses a sincere willingness to prepare meals that are within his prescribed diet.
he visits his diabetic brother who just had surgery to amputate the infected foot
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the
laboratory test results to indicate a decreased serum level of which substance?
A) Sodium.
B) Antidiuretic hormone.
C) Potassium.
D) Glucose.
potassium
Which symptoms should the nurse expect a client to exhibit who is known to have a
pheochromocytoma?
A) Numbness, tingling, and cramps in the extremities.
B) Headache, diaphoresis, and palpitations.
C) Cyanosis, fever, and classic signs of shock.
D) Nausea, vomiting, and muscular weakness.
headache
diaphoresis
palpitations
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, In preparing a discharge plan for a 22-year-old male client diagnosed with Buerger's disease
(thromboangiitis obliterans), which referral is most important?
A) Genetic counseling.
B) Twelve-step recovery program.
C) Clinical nutritionist.
D) Smoking cessation program.
smoking cessation program
A client with heart disease is on a continuous telemetry monitor and has developed sinus
bradycardia. In determining the possible cause of the bradycardia, the nurse assesses the
client's medication record. Which medication is most likely the cause of the bradycardia?
A) Propanolol (Inderal).
B) Captopril (Capoten).
C) Furosemide (Lasix).
D) Dobutamine (Dobutrex).
propranolol
A client has undergone insertion of a permanent pacemaker. When developing a discharge
teaching plan, the nurse writes a goal of, "The client will verbalize symptoms of pacemaker
failure." Which symptoms are most important to teach the client?
A) Facial flushing.
B) Fever.
C) Pounding headache.
D) Feelings of dizziness.
feelings of dizziness
After the fourth dose of gentamicin sulfate (Garamycin) IV, the nurse plans to draw blood
samples to determine peak and trough levels. When are the best times to draw these samples?
A) 15 minutes before and 15 minutes after the next dose.
B) One hour before and one hour after the next dose.
C) 5 minutes before and 30 minutes after the next dose.
D) 30 minutes before and 30 minutes after the next dose.
5 minutes before and 30 minutes after the next dose
The nurse would be correct in withholding a dose of digoxin in a client with congestive heart
failure without specific instruction from the health care provider if which finding was
documented?
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